MANUEL F MALDONADO PA
NPI 1144274960
Physician Assistant in Charlotte, NC

Q: What is Manuel Maldonado's NPI number?

The NPI number for Manuel Maldonado is 1144274960. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Manuel Maldonado's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Manuel Maldonado was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 19, 2006PECOS Enrolled

445 S KINGS DR, CHARLOTTE, NC 28204(980) 308-0141(980) 308-0140 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2023, Feb 7, 2023, Aug 19, 2021 and 3 more (6 updates tracked since 2019).

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About Manuel F Maldonado Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANUEL F MALDONADO PA (NPI 1144274960) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (103143) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144274960

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMANUEL F MALDONADOCredential: PA

Location Address445 S KINGS DRCharlotte, NC 28204-3041

Mailing AddressPo Box 601843Charlotte, NC 28260-1843

Phone(980) 308-0141

Fax(980) 308-0140

Sole ProprietorNo

Enumeration DateMay 19, 2006

Last NPPES UpdateMarch 1, 20236 updates tracked since enumeration

NPPES CertifiedMarch 1, 2023

✔ NPI 1144274960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 103143

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

445 S KINGS DR, Charlotte, NC 28204

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Secondary Practice Locations 2

Location 111840 Southmore Dr Ste 100Charlotte, NC 28277-4821 · Phone (980) 308-0169 · Fax (980) 308-0173

Location 213129 S Tryon St Ste 120Charlotte, NC 28278-7915 · Phone (980) 337-4662 · Fax (980) 337-4658

Other Identifiers 1

Medicaid8101503NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manuel F Maldonado Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

65%20 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

41%27 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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